Committee of Management for the Elliott

7:27Good afternoon. I'm going to bring to order the meeting of the committee of management for the

7:33Elliot today and we have our committee members here and I understand Michelle Karker is here

7:44from the CEO from the Elliot as well as some of her staff as well. So is there any disclosure

7:51of pecuniary interest and general nature thereof? Okay seeing none I need confirmation of the

8:00minutes for the March 7th meeting of this year. Councillor Richardson and Councillor Cousin,

8:07first and seconded. Any comments, questions? Is anyone opposed? So we have the consent agenda

8:24and we have two items on it so the Elliot long-term care residents quarterly report

8:32and the long-term care bed expansion project update report. So I'm going to invite the CAO

8:39Karker to see if she has any comments she wants to add to the report that we have before us.

8:49Actually no I'm going to defer to Lilabeth Medina our administrator to see if she has any other

8:54comments this time. Lilabeth. Thank you Michelle. Just a few highlights from the report

9:07for the following key areas. The submission of our quality improvement plan, the complaints and

9:13mandatory reporting of the critical incidents as well as our key process improvements initiatives

9:19and projects. Our QFP submission the narrative and work plan submitted to Ontario Health

9:27as per timeline and we have implemented the chains of ideas and are monitoring our indicators to

9:34ensure that this changes support our QIP targets and metrics as you can see in the report. We're

9:40halfway in our Q2 and we're already meeting our targets. For the complaints we received two complaints

9:49in January. They were resolved in the satisfaction of the complainants and happy to report that in

9:56the months of February and March we did not receive any complaints. And just a highlight

10:03for our critical incident report. There's no major issues aside from our ongoing

10:11follow with our COVID-19 outbreak. We reported three outbreaks at this quarter and we continue

10:22to follow all directives and mandates on the reopening received from the public health as we

10:28ease the restriction both in a long-term care and retirement. And I would also like to provide an

10:35update for our current outbreak of COVID-19 in one of our resident home areas that as of yesterday

10:43the outbreak has been declared over and there's only two residents that has been reported

10:52to this outbreak. This concludes my comments and I'm happy to take any questions from this report.

11:01Hey thank you. Are there any questions from the committee of management

11:06members that are here? Councillor O'Rourke.

11:14Through you Chair Downer to I think Mr. Wolfe so a little bit as Medina thank you very much for

11:20the report. That's very helpful. I'm just wondering if you wanted to add with respect to the financial

11:26section was there anything in the provincial budget that is helpful or beneficial or concerning for

11:32the operations of the long-term care portion at the Elliott. So yes thank you through you

11:46Madam Chair in response to Councillor O'Rourke's question I can say that overall

11:54when the government announced on March 23rd the government

12:0020-23 budget and title building a strong Ontario. Overall I can we can say that in our sector the

12:08government put a significant amount of new money into the long-term care. However with the new budget

12:14there is no additional IPAC funding to help the homes to help combat infectious diseases

12:22including COVID-19 beyond the funding for training and the designated leads.

12:30As well as our association so we belong to Advantage Ontario for not-for-profit

12:36has advocated for the 5% increase across all the level of care envelopes. However

12:43we can only see in the budget that there's only two percent increase.

12:47But we know that the 9.7 increase in the food envelope is a significant help in our operation.

12:58So to highlight a few in the budget documents we can see that

13:10although the budget document itself does not contain many details related to long-term care

13:15however it was reported in our sector and highlighted that the continued supporting

13:23professional growth fund that is allocated to support to build the capacity of the staff in

13:31long-term care is really a significant help to assist us in building that capacity and skills

13:41for our staff. We're the new funding for the IPAC professionals to support the hiring of infection

13:49control leads because prior to pandemic IPAC lead is just embedded in one of the portfolio of the

13:59leadership clinical leadership team. So it's not there's no designated lead at this time the

14:06government had announced that there's a funding now to hire a full-time I think it's a 0.75

14:15full-time equivalent for the IPAC lead and IPAC personnel. As well as they continue to fund the

14:23education as well because that's we recognize that that's continued needs for our staff to make

14:31sure that our new hires our new staff onboarding receive that education and training. As well as

14:39in the funding announcement there was an increase in funding and the behavioral support Ontario

14:45the program will additional additional funding will enhance the program by investing in the

14:52specialized staff and equipments to support the conflict needs of our residents so

14:56it's a big impact for our for our sector as well although the Elliott community doesn't

15:04specialize into that behavior but with this funding we're benefiting as this as well because we have a

15:12full-time RP and BSO lead as well as the BSO on this funding. As well as the local priorities funds

15:21which is needs-based so this is access through Ontario Health so for example depending on the

15:29needs in the community if say for example there's a bariatric residence who needs to come in in

15:35a long-term care and we don't have the equipment so we can access this fund to support that way we

15:41can take that residence as well. So and investment of the government to put on 1.2 million to the

15:49Ontario personal support workers association to help with the recruitment and build that capacity

15:55and promote that PSW profession in long-term care would be a significant impact to our sector as well.

16:03Thank you. Thank you very much yeah we're all aware of sort of inflationary pressure so that's

16:10really helpful there's lots of moving parts but it's helpful to know that that some of those

16:14announcements were beneficial thanks very much. So are there any other questions or comments?

16:22Okay I'm gonna um oh Councillor Feit. Just a follow-up to the answer about the lack of

16:35IPAC funding for COVID is there any other funds that we can apply to for accessibility like for

16:44example air purifiers that would help with COVID that would come through a separate fund like an

16:51accessibility fund? Thank you through Madam Chair in response to Councillor's question.

17:04I can say that with that in 2022 we already have that IPAC capital funding that it's there but to

17:13where we're hoping that it's going to be um there's more additional funding but if if that's

17:20needed there's still some sort of funding that we can access through the IPAC capital funding.

17:30Thank you very much. Thank you. Thank you I'm going to call for a motion to

17:38for the recommendation to be received but I just want to note that Councillor Kerron and Council

17:42Gibson you're not on the committee so might be helpful if you just turned off your cameras for

17:46this while we're in this session. Thanks thank you so uh Councillor Chew you're gonna move it seconded?

17:55Oh you have a question? Okay Councillor Chew thank you. Thank you Chair. Just a quick question for my

18:01own personal curiosity. I'm looking at the project status report for the long-term bed expansion and

18:09we're not at that point. We're not there yet. Okay sorry stepping ahead there. All right I'll go to

18:13you first. Are there um anybody who could move this? The Council Lucetail come for a work?

18:22No questions and no more comments? Is anyone opposed? Okay that carries. Okay now we're going

18:29to go on to the um long-term care bed expansion and first I'll just ask uh Michelle if she has

18:37any comments or if uh any of your staff before on the report before we put it on the floor.

18:44I don't know if Norm has any comments Norm do you have any comments you'd like to make?

18:50Thank you Michelle for your Chair Downer. Some very quick high-level comments on the report. We

18:56provided our monthly project update report. We are in status yellow and that's due to the fact

19:03that we have missed a deadline with our latest submission for our working drawing so it was

19:08over a month past two. The good thing is is that it doesn't put our main deadline which is August

19:1411th where we submit to the Ministry of Long-Term Care for an approval to construct. That is the

19:21critical document where the Ministry will tell us whether we are permitted to carry on with the project

19:28and begin construction. So even with this late submission of our working drawings based on

19:35our current project plan we still have enough time that we can go through back and forth with the

19:42Ministry once more to fine tune these drawings and still be in a comfortable position to make that

19:49August 11th submission to the Ministry. In the meantime while the Ministry considers our working

19:56drawings that were submitted on the 22nd of May we continue to move forward with our tendering process.

20:03We have recently approved five construction managers for the the purpose of working on our

20:11project. We also have provided tender documentation and received tender responses from those five

20:19pretty approved groups and we are now in the process of evaluating those those tender responses.

20:27So again we continue to move forward and at the same time we are waiting for the Ministry to get

20:33back with comments on our working drawings. Again I want to be sure that everyone understands that

20:38at this time we don't believe that there's a significant risk to our August 11th date

20:44and for the purposes of initiating construction with the Ministry's approval.

20:50I'll stop there and respond to questions. All right thank you that was helpful. Okay

20:55Councillor Chew what would you like to know? Thank you Chair I think you already answered my question

21:01but I guess just for clarification to the public the construction manager has been awarded.

21:06No the construction manager has not been awarded as yet. We are in the process

21:13of evaluating the tender responses received from the five construction manager proponents

21:19involved in the tendering process. Okay thank you. Are there any other questions? Councillor O'Rourke?

21:31Thank you Chair Downer through you to the Elliot staff. I'm just wondering if you want to explain

21:35what the what part of the the timing difference was right so the intent to

21:42have a certain model within the designated beds and then having to to readdress that and just some

21:49quirks along the way it would help us to understand. Okay through you Chair Downer to

21:55Councillor O'Rourke. The reason for our delay was at the beginning or at the outset of our project

22:02it was our intent to implement the butterfly model of care in this new construction area.

22:07We were very excited about it. We had already reached out to the the company that that assists

22:13long-term care homes with implementing that that model of care and our preliminary plan

22:19submissions to the ministry included many elements in fact all the elements that we believe were

22:25appropriate for the implementation of that model of care. The ministry however is not as

22:35engaged in that that specific model of care as we had hoped and as a result we took likely an extra

22:45submission time which is 20 days according to the ministry 20 business days which is four weeks

22:51and we we ended up having to go back and forth and making an additional submission to the ministry

22:56by the time that we received approval of our preliminary plans so that is why we are in a

23:03delayed status however we believe that the ministry would adopt and embrace the model of care

23:10and I don't think they embraced it quite as much as we had hoped. Thanks Chair Downer. Yeah I just

23:17found it interesting that you could you could retrofit existing places now for the butterfly

23:23model. You were trying to be proactive and just sort of do it right the first time but that's not

23:29that's not how this goes so I just thought it'd be helpful we talked about the butterfly model of

23:33care before and we've asked about you know progress on that so I just wanted kind of an update on

23:39both at the same time thanks. Thank you. Thank you. Are there any more questions? Councillor Chew.

23:53Thank you Chair just for myself and members of public what what is the butterfly model of care?

24:00Sure I'm not the one wondering. So the real expert on that is Lullaby but I

24:05Lullaby if you'd be so kind just to respond to that question. I would be more than happy. So the

24:14butterfly model of care approach is a person-centered care approach. We're in it does involve

24:25the principle of care so do we have a neutral care controlling care all those aspects that

24:33we're going to be training the staff on how we care for our residents. So at this point

24:37Iliad provides a high standard of level of care to our residents but it's more on

24:42clinically approach and task approach but we want to move away from being task or clinical

24:49approach being an institution but provide a person-centered approach we're in it's all about

24:56our residents so it involves altering the environment so that's why it kind of impact our

25:06our project at this point because we're incorporating it with the new build instead of

25:11out making our renovation later on because as you can probably know that when you talk about

25:20dementia dementia carol Alzheimer's it affects the level of wayfinding it affects the cognitive

25:32it affects the environment it's a big factor in caring for those our seniors when they're into

25:42the late states of dementia. So it's basically it's a model principle care approach we're in

25:50we're moving away from being institutional but being so when you when you look at that

25:55butterfly model it's it's actually there's a slogan is free to be me so we're just allowing them to

26:02kind of look into their expression so it's the responsive behavior and kind of looking into

26:09other other ways of caring for them. That's that is why good okay thanks any other questions today?

26:23Okay could I have um thanks so if I could have a motion to receive this report

26:31councillor crossin is that good by councillor Richardson is there anyone opposed? Okay that passes

26:40right thank you um are there any announcements from the the LA community staff? Michelle?

26:52Through you. To your daughter no there's no other announcements at this time thank you.

26:56Thank you so then that's our business is done thank you a lot of good questions today to

27:03create some clarity around issues. Could I have a motion for adjournment then? Councillor

27:09Bousichail seconded by councillor work anyone opposed? Seeing none we're adjourned thank you.